| NPI | 1467792242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOLAN Executive Director 720-381-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 107200) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2020-11-05 |